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EUROCHIP: EUROpean Cancer Health Indicator Project EUROCHIP-1 EUROCHIP-2 EUROCHIP-3 www.tumori.net/eurochip Dr Andrea Micheli Descriptive Epidemiology and Health Planning Unit Fondazione IRCCS “Istituto Nazionale dei Tumori” Milan Public Health Programme EUROPEAN COMMISSION: HEALTH & CONSUMER PROTECTION DIRECTORATE-GENERAL EUROCHIP-1 2002-04 EUROCHIP-2 2005-07 EUROCHIP-3 2008-11 -1 a list of Cancer Health Indicators -2 CANCER CONTROL actions in 24 European countries; the “pillars”: care & treatment indicators, cervical screening, cancer registration -3 further action on the pillars of EUROCHIP-2; discussion on cancer rehabilitation and costs EUROCHIP works in Consensus Conferences involving cancer experts of EU institutes, organisations and networks EUROCHIP-1..3 Cancer is an important element of our societies Why? To fight inequalities What? Translational research project How? Economy of scale: EU network of willing people permanent consensus conference actions INDICATOR A INDICATOR B INDICATOR C . . . INDICATOR Z ANALYSIS EUROCHIP-2 ACTION PLAN COUNTRY 1 A C T I O N 1 A C T I O N 2 A C T I O N 3 COUNTRY 2 A C T I O N 3 A C T I O N 4 COUNTRY 3 A C T I O N 4 COUNTRY 30 A A C C T T I I O O N N 5 EDUCATIONAL 6 A C T I O N 6 ACTIVITY SOLIDARIETY-BASED EUROPEAN PUBLIC HEALTH ACTIONS Care & treatment Early diagnosis Epidemiology EUROCHIP Pilot studies Against avoidable deaths Lack of cancer information COMMON ACTIONS Country’s specific actions A project based on solidarity against inequalities: the EUROCHIP-2 MAP EUROCHIP-2 PILLARS 1. EUROCHIP-2 Pilot Studies: feasibility studies in cancer registries to study the possibility to collect three indicators at population level: “Stage at diagnosis”, “Delay of cancer treatment” and “Compliance with guidelines” for breast and colorectal cancers 2. Early diagnosis of cervical cancer in 5 Eastern European countries (Presentations during this meeting) 3. Lack of cancer information: • Activities in two countries without cancer registration • Recommendations to the EC Network of Competent Authorities in support of cancer registration in Europe AIM: TO IMPROVE THE CANCER INFORMATION SYSTEM • Three indicators: “Stage at diagnosis”, “Delay of cancer treatment” and “Compliance with guidelines” • EUROCHIP-2 Pilot Studies are feasibility studies in cancer registries of 10 countries • They are performed to address the following questions: • • is it possible to collect these indicators at population level? • is the information already available? • from which sources can (or could) the data be obtained? EUROCHIP pilot studies refer to breast and colorectal cancer STAGE AT DIAGNOSIS: TYPE OF COLLECTION EASIER COLLECTION BREAST CANCER MORE ROUTINE COLLECTION UTERUS CANCER MORTALITY TRENDS Source: WHO Death rate per 100,000 WOMEN AGED 20 – 44 (MOSTLY CANCER OF THE CERVIX) Standardized death rates (European standard) AIM: TO AVOID AVOIDABLE DEATHS • BULGARIA: assessment surveys on • information level • standard of cytological labs • ROMANIA: • assessment study shows high difficulties to implement screening in the near future • In 2007 legislative changes were initiated on cervical screening • LATVIA • Workgroup of Latvian oncologists, gynaecologists, GP, stakeholders and health planners • 2 informative documents were submitted to the MoH • Screening expected to start in 2009 • ESTONIA: cervical screening limits are low adherence, no screening registry, lack of reference laboratory • LITHUANIA: a study was organized to evaluate results of the centralized invitation system in one municipality in Lithuania. It provides evidence and benefits of this system AIM: TO IMPROVE THE CANCER REGISTRATION Activities in two countries without registration: Greece and Luxembourg cancer Recommendations to the Network of Competent Authorities in support of cancer registration in Europe Educational activity: EUROCHIP-2 sponsored in 2006 the participation of 9 researchers from Eastern European countries to the course “Cancer survival: principles, methods and applications” (London, 3-7 April 2006) EUROCHIP-2 PUBLICATIONS • Chapter on “Cancer Information” for Slovenian Presidency cancer book • Chapter on cancer for the European Commission Report on Major and Chronic Diseases • Chapter on cancer for the European Global Report on Health (EUGLOREH) • Article on macro-socioeconomic variables relation with cancer survival (EJPH) • Article on life tables for world-wide comparison of relative survival for cancer (Tumori) • Other articles across the EU during the project period for country’s specific actions EUROCHIP ROLE AFTER THE SECOND ROUND • One of the main references for the European Commission on cancer • Established contacts in the majority of MSs. Performed 27 actions in 24 countries • Contacts with MoHs or bodies strictly connected with health ministries • Connections with main international networks on cancer control • Link with MEP’s (June 07 Meeting at European Parliament) • Link with Portoguese and Slovenian Presidency • Steering Committee Member of the 2nd and 3rd International Cancer Control Congress